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Adalimumab

Phase 4FDA approved

Plaque Psoriasis | Monoclonal antibody | Dermatology |Alvotech|Trials Updated: May 5, 2022

Adalimumab development status

FDA approval on record Dec 31, 2002 as Humira
Approval holderAbbvie Inc
ApplicationBLA125057
Highest phase Phase 4 run by Abbott (NCT00649922)
Phase scored for ALVOPhase 3
Registered trials 213 across 58 sponsors since Nov 2002

Label indication HUMIRA is a tumor necrosis factor (TNF) blocker indicated for: Reducing signs and symptoms, inducing major clinical response, inhibiting the progression of structural damage, and improving physical function in adult patients with moderately to severely active r heumatoid a rthritis . FDA label

Adalimumab target and mechanism

Molecular targetTNF
Target classInhibitor
ModalityMonoclonal antibody

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials2
Total Enrollment520

FDA Designations

No designations recorded

Adalimumab clinical trials

Adalimumab · 2 trials · 2 indications

Phase 3 2
NCT04224194Auto-injector Real Life Handling in PatientsRA
COMPLETED107 Analytics
NCT03849404Efficacy, Safety, and Immunogenicity of AVT02 With Moderate-to-Severe Chronic Plaque PsoriasisPlaque Psoriasis
COMPLETED413 Analytics
PHASE3COMPLETED
Auto-injector Real Life Handling in Patients
RAUnlock trial analytics
PHASE3COMPLETED
Efficacy, Safety, and Immunogenicity of AVT02 With Moderate-to-Severe Chronic Plaque Psoriasis
Plaque PsoriasisUnlock trial analytics

Study Endpoints

Primary Endpoints

percentage of successful self-injections patient rated
up to the Week 8

The percentage of successful self-injections as reported in the questionnaires completed by the patients (Patient Assessment Tool, Question 1), analyzing all self-injections occurring after the trained self-injection. The higher the % the better the result.

percentage of successful self-injections site staff rated
up to the Week 8

The percentage of successful self-injections as reported in the questionnaires completed by the trial site personnel (Observer Assessment Tool, Question 1) , analyzing all self-injections occurring after the trained self-injection. The higher the % the better the result.

Psoriasis Area and Severity Index (PASI)
Baseline to Week 16

Percent (%) change in Psoriasis Area and Severity Index (PASI)

Secondary Endpoints

frequency of any autoinjector handling events during the self-injection process
Up to week 8
Psoriasis Area and Severity Index (PASI)
Percent improvement in PASI from BL to Week 8, 12, 24, 32, 42, and 50
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Interventional, Single arm to evaluate autoinjector handlingOTHERTo assess the real-life patient handling experience with the use of an autoinjector in patients with moderate to severe active Rheumatoid Arthritis (RA) who selfinject AVT02 (adalimumab) subcutaneously (SC).
AVT02 100mg/mL (Adalimumab Biosimilar)EXPERIMENTALPatients will be randomized to AVT02 on 1: 1 basis from the dosing day of Day 1 until week 48
EU-Humira 100mg/mL (Adalimumab Originator)EXPERIMENTALPatients will be randomized to EU-Humira on 1: 1 basis from the dosing day of Day 1 until week 48

Interventions

NameTypeDescription
AdalimumabCOMBINATION_PRODUCTCombined product as Drug is delivered through an autoinjector pen on which real-life patient handling experience is assessed.
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites9

Inclusion Criteria: * Patient is male or female, 18 to 80 years of age, inclusive, at time of Screening. * Patients diagnosed with RA for at least 4 months and currently classified according to the 2010 American College of Rheumatology (ACR)/ European League Against Rheumatism classification criter...

Countries:GeorgiaUkraineEstoniaPoland
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Frequently asked questions about Adalimumab

What is adalimumab used for?

Adalimumab is used for plaque psoriasis and rheumatoid arthritis (RA). It is a monoclonal antibody developed by Alvotech as a biosimilar candidate referencing Humira. Alvotech is studying it in moderate-to-severe chronic plaque psoriasis and in RA, including real-life handling of an auto-injector presentation.

What does adalimumab target?

Adalimumab targets TNF, tumor necrosis factor. It is a monoclonal antibody that acts as a TNF inhibitor, binding TNF and blocking its inflammatory signaling. This mechanism underlies its development for immune-mediated conditions such as plaque psoriasis and rheumatoid arthritis.

Who makes adalimumab?

Alvotech is developing adalimumab, under ticker ALVO. The company is advancing it as a biosimilar candidate referencing Humira, studied in plaque psoriasis and rheumatoid arthritis. Alvotech is the sponsor listed for the clinical program, which includes a Phase 3 study in moderate-to-severe chronic plaque psoriasis.

What phase is adalimumab in?

Adalimumab is in Phase 3 development. It is an investigational biosimilar candidate and is not described as approved. The program includes completed Phase 3 trials, one in moderate-to-severe chronic plaque psoriasis and one evaluating auto-injector real-life handling in rheumatoid arthritis patients.

What clinical trials is adalimumab in?

Two completed Phase 3 trials are registered: NCT03849404, which assessed efficacy, safety, and immunogenicity of AVT02 in moderate-to-severe chronic plaque psoriasis across Estonia, Georgia, Poland, and Ukraine, and NCT04224194, which evaluated auto-injector real-life handling in rheumatoid arthritis patients in Georgia and Ukraine.

Is adalimumab the same as Humira?

Adalimumab is also known as Adalimumab 100 MG/ML [Humira] and Adalimumab/ML. It is developed by Alvotech as a biosimilar candidate referencing Humira, meaning it is a proposed alternative version of adalimumab rather than the originator product itself.